Thursday, October 25
Impact of Declining Reimbursement on Lab Operations & Test Utilization Management
Track: Critical Trends & Disrupters
Thursday, October 25
2:30 pm - 3:20 pm
Columbia B


  • Linda Smith (Speaker) Vice President, Laboratory Services, SSM Health


How will hospital laboratories be able to provide quality laboratory service in a healthcare environment that is increasingly subject to disruptive change? With laboratory reimbursement declining to unprecedentedy low levels, how will hospital labs adapt to survive and potentially thrive? How can laboratories manage test utilization to ensure best practice care and operational efficiency? What roles do physician engagement and employee engagement play in developing utilization algorithms to effectively manage expensive genetic/esoteric tests? How can laboratories partner with physicians, hospital executives, and revenue integrity to minimize denials for lab tests and optimize strategies for reimbursement?

Participants will learn about and discuss how recent changes in lab reimbursement can be counteracted through lab productivity optimization, innovation, evidence-based test utilization management; and focused integration of laboratory services into hospital operations.

Case studies, change management techniques, and cost analysis tools will be shared.

Key learning objectives:

  • Describe recent and future changes in laboratory and pathology reimbursement and the potential impacts for hospitals and laboratories.
  • Identify major lab test utilization management opportunities that can lower total cost, improve lab quality, service, and productivity so that the laboratory adequately supports hospital performance and growth.
  • Learn successful techniques for engaging physicians, hospital executives, nursing, and laboratory staff in working together to develop exceptional, evidenced-based test utilization management that leads to improved outcomes.

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